Evidence map›Paper›PMID 33566677›Full record

ArticleJCO oncology practice2021

Patient Perspectives on the Financial Costs and Burdens of Breast Cancer Surgery.

Sachiko M Oshima, Sarah D Tait, Christel Rushing, Whitney Lane, Terry Hyslop, Anaeze C Offodile, Stephanie B Wheeler, S Yousuf Zafar, Rachel Greenup, Laura J Fish

Abstract read
In one paragraph

Article in JCO oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Financial hardship, financial toxicity, and transportation challenges among older cancer survivors treated with curative-intent surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Cancer cost-related subjective financial distress among breast cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Defining the Role of the Modern Oncology Provider in Mitigating Financial Toxicity.Journal of the American College of Radiology : JACR · 2023
    Review
  11. Article
  12. Financial Toxicity Considerations in Breast Reconstruction: Recommendations for Research and Practice.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sachiko M OshimaDuke University School of Medicine, Durham, NC.ORCID 0000-0001-8015-4058
Sarah D TaitDuke University School of Medicine, Durham, NC.
Christel RushingBiostatistics Shared Resource, Duke Cancer Institute, Duke University, Durham, NC.ORCID 0000-0001-7453-2120
Whitney LaneDepartment of Surgery, Duke University School of Medicine, Durham, NC.
Terry HyslopBiostatistics Shared Resource, Duke Cancer Institute, Duke University, Durham, NC.
Anaeze C OffodileDepartment of Plastic Surgery, MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-5169-4589
Stephanie B WheelerDepartment of Health Policy and Management, UNC Gillings School of Global and Public Health, Chapel Hill, NC.
S Yousuf ZafarDuke University School of Medicine, Durham, NC.ORCID 0000-0002-9039-5258
Rachel GreenupDepartment of Surgery, Duke University School of Medicine, Durham, NC.
Laura J FishDepartment of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC.

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
Interdisciplinary Research Careers in Women's HealthK12HD043446 · NICHD · DUKE UNIVERSITY · PI AMUNDSEN, CINDY · 2002 to 2023
$9.6M
NCI NIH HHS P30 CA014236NICHD NIH HHS K12 HD043446
6 · The paper itself

Abstract

purposeAlthough financial toxicity is a well-documented aspect of cancer care, little is known about how patients narratively characterize financial experiences related to breast cancer treatment. We sought to examine these patient experiences through mixed methods analysis.

methodsWomen (≥ 18 years old) with a history of breast cancer were recruited from the Love Research Army and Sisters Network to complete an 88-item electronic survey including an open-ended response. Quantitative data were used to sort and stratify responses to the open-ended question, which comprised the qualitative data evaluated here. Descriptive statistics and qualitative content analysis were used to evaluate the financial costs and other burdens resulting from breast cancer surgery.

resultsIn total, 511 respondents completed the survey in its entirety and wrote an open-ended response. Participants reported significant financial burden in different categories including direct payments for medical care and indirect costs such as lost wages and travel expenses. Treatment-related costs burdened participants for years after diagnosis, forming a

conclusionBreast cancer care can result in ongoing financial burden years after diagnosis among all patients, even those with adequate insurance patient populations.

Indexed as

Breast NeoplasmsAdolescentFemaleHealth Care CostsHumansMastectomySurveys and Questionnaires

Identifiers

PMID33566677
PMCPMC8257857

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.